Getting to wellness: The potential of the athletic model of marginal gains for the treatment of bipolar disorder

Abstract

Marginal gains, small and doable improvements across a broad range of areas, have great potential to improve the lives of people with bipolar disorder.

Lifetime Psychotic Symptoms, Subthreshold Depression and Cognitive Impairment as Barriers to Functional Recovery in Patients with Bipolar Disorder

“…Hence, the ingredients of the therapy to treat these persistent symptoms, along with the improvement of functional outcome, are still unknown. It is likely that involves a combination of several approaches following the model of marginal gains originally designed by the Team Sky [66] and adapted to BD by Nierenberg and colleagues [67]. This method consists of implementing a wide variety of small changes that have a substantial aggregated positive impact in the long-term [67].…”

“…It is likely that involves a combination of several approaches following the model of marginal gains originally designed by the Team Sky [66] and adapted to BD by Nierenberg and colleagues [67]. This method consists of implementing a wide variety of small changes that have a substantial aggregated positive impact in the long-term [67]. In this regard, it is expected that little changes executed at different areas (pharmacotherapy, psychological interventions, etc.)…”

“…One example of these multicomponent programs is the integrative therapy, recently introduced by Reinares and colleagues [68], which, with the aim to cover different areas affected by the illness, combines therapeutic components of broader treatments in the same program, including psychoeducation for patients and family members, mindfulness training, promotion of healthy life style and cognitive/functional enhancement. This comprehensive and integrative approach may be a fair reflection of the principle above-mentioned: little changes in different areas can exert a significant positive impact in the long-term [67].…”

Exercise in bipolar patients: A systematic review

“…Prior reviews on this subject have only included a limited number of studies, and not research published in the last few years (Thomson et al, 2015;Vancampfort et al, 2013;Wright et al, 2009). Some reviews did not focus specifically on physical activity, but discuss exercise in context of other lifestyle interventions (Bauer et al, 2015;Kemp, 2014;Lopresti and Jacka, 2015;Nierenberg et al, 2015;Ward et al, 2015). Other reviews reported on the effects of exercise in mental illness as an umbrella diagnosis and did not analyze separately and thoroughly bipolar patients (Barbour et al, 2007;Kucyi et al, 2010;Stanton and Happell, 2014).…”

Amalgamation of Marginal Gains (AMG) as a potential system to deliver high‐quality fundamental nursing care: A qualitative analysis of interviews from high‐performance AMG sports and healthcare practitioners

“…Our parallel review of AMG (Wood et al., ) shows that AMG is popular as a method of improving health care in areas such as surgery (Fleming et al., ), child and family health care (Lemer, Cheung, Klaber, & Hibbs, ), and mental health (Nierenberg, Hearing, Mathias, Young, & Sylvia, ). However, there is no literature describing AMG processes, no previously published AMG process model and it has not been used in nursing.…”